The New York Times best-selling author of Better and Complications reveals the surprising power of the ordinary checklist.
We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies - neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple 90-second variant has cut the rate of fatalities by more than a third.
In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from disaster response to investment banking, skyscraper construction, and businesses of all kinds.
An intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference, The Checklist Manifesto is essential for anyone working to get things right.
©2009 Atul Gawande; (P)2009 Macmillan Audio
I love this man's writings. His ideas are well thought out, thoroughly researched and clearly presented. In many other medical publications, there are faulty analogies/comparisons between various industries and the medical field - not so with his books! All his comparisons and parallels between different industries and methodologies are very thought provoking and applicable. He presents some of the best practices from different industries and describes how they can be applicable in the field of medicine. He also tests some of his findings and discusses the results. This book would also be an excellent book for anyone who is trying to learn about the ‘scientific method’ and unbiased research. Best of all, this doctor is NOT focused on trying to ‘sell’ his audience on an idea, but instead focuses on using his book as a vehicle to promote a much needed discussion amongst medical professionals and the general public.
The book was good but got very redundant. The book is more of an argument for the use of checklist than suggestion on how to incorporate them. The majority of the book is focused around the use of checklist in medical settings.
Marty Jacobs consults in the areas of strategic planning, board governance, leadership development, and community engagement.
Although this book has a decidedly medical perspective (the author is a renowned surgeon, after all), the concepts in the book can be applied to many situations, not just medical ones. Dr. Gawande begins by describing three levels of complexity: simple, complicated, and complex. He then proceeds to outline the checklist manifesto as it applies to complex problems, those in which expertise is valuable but not sufficient for success and outcomes are often uncertain. In any complex situation, one needs to ask the following two questions: 1) Do I have the right knowledge? and 2) Am I applying it correctly? Dr. Gawande’s basic premise is that with complex problems, the power of decision-making must be given to those people who have the appropriate levels of experience and expertise. Moreover, those decision makers must talk to one another and take responsibility for the decision. Complexity no longer allows us to centralize power in any one person.
Learned a lot about the processes that hold processes together. Such great research went into this book. Loved it. Loved hearing all the details about the research, it all makes so much sense!
Could not be anymore boring and dry. This recording could have been compressed into 10 minutes and you you will still understand the information Atul Gawande was trying to say.
This was constructed much like Freakonomics, which I liked. It gave stories, examples, and implementation. Perfect.
We get things right most of the time. This book show a way to get it right all the time.
I was able to listen to the book in 3 days walking to and home from work. Essential content is easy to understand and process from audio format and I will build checklists into our practice in NY. Implementing these concepts could improve ED care nationally and are similar to the American Heart Association courses focused on resuscitation and treatment of seriously ill and injured patients. Well done Dr. Gawade.
.. He speaks into the microphone. The Analog is converted to Digital. These are converted into Files. These files are copied. The copies are stored on Audibles Server. Then people will pay to download this file. They will step through a credit card process. Using Audible's Download Manager the purchaser transfers it to their computer. The listener uses their ears to hear it. But something has gone wrong. The solution? They should use a checklist.
If you liked that review then you will love this book. If you were unhappy reading my review then you better think twice about paying for this download.
IF you are someone who loved Malcolm Gladwell's books then you have have read those and will consequently be disappointed at this uhh.. very dull utilitarian generic version almost punishing the reader/listener with a stern work assignment.
Checklist. Use a checklist. Remove this from the Checklist.
I'm a lawyer and mediator. I represent businesses in disputes with their insurers and in other complex litigation. I also assist machinery companies and manufacturers (primarily international) with equipment sales, non-disclosure agreements, and business issues. I also mediate commercial disputes.
There is a lot of interesting information here. The book points out the need for adopting checklists and procedures for avoiding basic errors across many professions and businesses. Very well done. My only reservation is that it is a little repetitive at some points.
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